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Borderline Personality Organization

Defense mechanism that develops when a child can't integrate positive and negative views of the world (think object relations and paranoid-schizoid positions). Leads to splitting, denial, dissociation. Seen in Borderline PD but also normal people!

Defense mechanism that develops when a child can't integrate positive and negative views of the world (think object relations and paranoid-schizoid positions). Leads to splitting, denial, dissociation. Seen in Borderline PD but also normal people!

Borderline Personality Organization

Narcissistic Defenses

Always severely pathological, seen in overt psychosis (but also in personality disorders, normal childhood, and dreams) Denial: Refusal to accept external reality

Distortion: Grossly reshaping external reality

Projection: Persecutory delusions about reality (ie: homophobia taking the form of gay-bashing)

Splitting: Disintegration of negative and positive impulses. ie: a person is either all good or all bad.

Immature Defenses (as a whole)

Most often seen in normal adolescents. Also seen in people with severe depression and personality disorders.

Most often seen in normal adolescents. Also seen in people with severe depression and personality disorders.

Immature Defenses (as a whole)

Acting out

Immature defense. expressing an unconcious wish or impulse through action to avoid the psychic conflict of not fulfilling that desire.

Immature defense. expressing an unconcious wish or impulse through action to avoid the psychic conflict of not fulfilling that desire.

Acting out

Idealization

Immature defense. Unconciously choosing to perceive another individual as having more positive qualities than they actually have.

Immature defense. Unconciously choosing to perceive another individual as having more positive qualities than they actually have.

Idealization

Passive aggression

Immature defense. aggression towards other expressed indirectly or through procrastination.

Immature defense. aggression towards other expressed indirectly or through procrastination.

Passive aggression

Introjection

Immature defense. Internalizing the qualities of an onject or person to alleviate anxiety. ie: identifying with an aggressor.

Immature defense. Internalizing the qualities of an onject or person to alleviate anxiety. ie: identifying with an aggressor.

Introjection

Somatization

Immature defense. transformation of negative feelings about others into feelings about oneself.

Immature defense. transformation of negative feelings about others into feelings about oneself.

Somatization

Regression

Immature defense. Attempting to return to an earlier phase of functioning to avoid tension and conflict.

Immature defense. Attempting to return to an earlier phase of functioning to avoid tension and conflict.

Regression

Hypochondriasis

Immature defense. Exaggeration of an illness to evade or regress and unconciously avoid responsibility/guilt.

Immature defense. Exaggeration of an illness to evade or regress and unconciously avoid responsibility/guilt.

Hypochondriasis

Neurotic defenses (as a whole)

Common in adults, good for short-term coping. If long-term, you're Woody Allen.

Common in adults, good for short-term coping. If long-term, you're Woody Allen.

Neurotic defenses (as a whole)

Controlling

Neurotic defense. Attempting to manage or regulate events and onjects to minimize anxiety.

Neurotic defense. Attempting to manage or regulate events and onjects to minimize anxiety.

Controlling

Displacement

Neurotic defense. Redirecting an impulse to a less threatening or more acceptable target. ie: angry at spouse but yell at kids.

Neurotic defense. Redirecting an impulse to a less threatening or more acceptable target. ie: angry at spouse but yell at kids.

Displacement

Intellectualization

Neurotic defense. Excessive use of intellect to avoid human emotion.

Neurotic defense. Excessive use of intellect to avoid human emotion.

Intellectualization

Rationalization

Neurotic defense. Using faulty reasoning to justify a situation.

Neurotic defense. Using faulty reasoning to justify a situation.

Rationalization

(a) Dissociation vs (b) isolation

Neurotic defenses.
(a) Temporary and drastic modification of character to avoid emotional distress. Postponing a normal feeling.
(b) Total separation of feeling from event (ie: describing a murder without any emotion)

Neurotic defenses.
(a) Temporary and drastic modification of character to avoid emotional distress. Postponing a normal feeling.
(b) Total separation of feeling from event (ie: describing a murder without any emotion)

(a) Dissociation vs (b) isolation

Reaction formation

Neurotic defense. Transforming an unacceptable impulse into its opposite. ie: doing something nice for someone you actually hate.

Neurotic defense. Transforming an unacceptable impulse into its opposite. ie: doing something nice for someone you actually hate.

Reaction formation

Repression

Neurotic defense. Repelling an idea or feeling from being conciously perceived.

Neurotic defense. Repelling an idea or feeling from being conciously perceived.

Repression

Mature defenses (as a whole)

Defenses found in emotionally healthy adults, enhance feelings of pleasure and control. Integrate conflicting emotions and thoughts.

Defenses found in emotionally healthy adults, enhance feelings of pleasure and control. Integrate conflicting emotions and thoughts.

Mature defenses (as a whole)

Altruism

Mature Defense. Constructive service to others taht brings pleasure and personal satisfaction.

Mature Defense. Constructive service to others taht brings pleasure and personal satisfaction.

Altruism

Anticipation

Mature Defense. Realistic planning for future discomfort.

Mature Defense. Realistic planning for future discomfort.

Anticipation

Humor

Mature Defense. Skirting around innately distressing thoughts. NOT cynicism, which would be passive-aggressive.

Mature Defense. Skirting around innately distressing thoughts. NOT cynicism, which would be passive-aggressive.

Humor

Identification

Mature Defense. Unconciously using a remodel to change behavior...but not idealization.

Mature Defense. Unconciously using a remodel to change behavior...but not idealization.

Identification

Sublimation

Mature Defense. Conscious transformation of negative emotions into positive actions and behavior. (ie: alcoholic turned AA organizer)

Mature Defense. Conscious transformation of negative emotions into positive actions and behavior. (ie: alcoholic turned AA organizer)

Sublimation

Suppression

Mature Defense. Consciously temporarily removing your personal drama from a situation to deal with the problem at hand.

Mature Defense. Consciously temporarily removing your personal drama from a situation to deal with the problem at hand.

Suppression

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